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Question of the Day
You are called to the delivery room to help resuscitate a newborn that has just been delivered. The baby is full-term and there is no meconium staining of the amniotic fluid. The baby has poor motor tone. The patient is vigorously warmed and ventilated. Despite these measures the patient remains severely bradycardic and chest compressions are initiated. Which of the following is the MOST appropriate compression to ventilation ratio (compression:ventilation)?
Explanation
If a neonate's heart rate is less than 60 bpm, chest compressions should start at a 3:1 compression to ventilation ratio. There will be a total of 90 compressions per minute and 30 breaths per minute (120 events per minute). In neonatal resuscitation, if the heart rate remains < 60 bpm epinephrine 10-30 mcg/kg should be administered intravenously.
References:
Kattwinkel J, Perlman JM, Aziz K, et al. Neonatal resuscitation: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care [published correction appears in Pediatrics. 2011 Jul;128(1):176]. Pediatrics. 2010;126(5):e1400-e1413. doi:10.1542/peds.2010-2972E Neonatal Assessment and Resuscitation
OA Series: March 2025
Vod
03:51
Pediatric Anesthesia Vodcast (en Español)
Consideraciones Perioperatorias: Bronchoespamo en Anestesia Pediátrica